Main Rehab Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC 7439 Issued in FL

Legal business name

MAIN REHAB CENTER LLC

Practice address

6301 Memorial Hwy
101
Tampa, FL 33615-4573

Phone

(813) 884-8877

Fax

(813) 884-1529

NPI assigned

Apr 27, 2009

Last updated

Apr 27, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Walter Borjas

Title

Owner

Phone

(813) 884-8877

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Rodney Daugereaux, LMT

  • Massage Therapist
  • Tampa, FL
  • NPI 1598087595
  NPD (past)
• Jessica Marie Hathon, LMT

  • Massage Therapist
  • Tampa, FL
  • NPI 1063741932
  NPD (past)
• Geovanni Rodriguez, LMT

  • Massage Therapist
  • Tampa, FL
  • NPI 1891026258
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1750525309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 MEMORIAL HWY",
            "address_2": "101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 MEMORIAL HWY",
            "address_2": "101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154573",
            "telephone_number": "813-884-8877",
            "fax_number": "813-884-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "BORJAS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-884-8877"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC 7439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Maida
• Cristina Maiden, APRN, FNP-C
• Katrina Maier
• Robin Maier, LCSW
• Rachel Mailliard
• Main St Medical USA
• Main Street Medical LLC (Main Street Medical Centers)
• Ritika Maini, RBT
• Anna Marie Mainiero
• Manda Emeline Mainville, DO

• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.